ANDREW PEREDO, MD, PC
NPI 1649980459
Plastic Surgery in New York, NY
About Andrew Peredo, Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW PEREDO, MD, PC (NPI 1649980459) is a healthcare organization registered as a plastic surgery in New York, New York and active in the NPI registry since December 2022. The organization lists Andrew Peredo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Peredo, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrew Peredo, MD, PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Peredo, MD, PC's NPI number?
The NPI number for Andrew Peredo, MD, PC is 1649980459. It was assigned to this organization in the NPPES registry on December 2, 2022.
Where is Andrew Peredo, MD, PC located?
Andrew Peredo, MD, PC is located at 1047 Park Ave, New York, NY 10028. The listed phone number is (212) 754-6363.
What is Andrew Peredo, MD, PC's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Andrew Peredo, MD, PC enrolled in Medicare?
Yes. Andrew Peredo, MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andrew Peredo, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Andrew Peredo, MD, PC, in Plastic and Reconstructive Surgery and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Peredo, MD, PC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrew Peredo, Md, Pc · NPI 1649980459
Plastic Surgery organization in New York, New York. Organization record, active in the CMS NPPES registry since December 2, 2022.
## Identity
- **NPI:** 1649980459 (Entity type: Organization)
- **Enumerated:** December 2, 2022
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Andrew Peredo, OWNER
## Practice location
- **Address:** 1047 PARK AVE, New York, NY 10028-1002
- **Phone:** (212) 754-6363 · **Fax:** (646) 582-1440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Plastic and Reconstructive Surgery (1), Podiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649980459) · Data from the CMS NPPES public registry.